Cervical and Intracranial Angiograms In 2013. Can I Bill Both?

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Question:

I am confused about the new cervicocerebral diagnostic angiogram codes. If I advance the catheter to the right common carotid and perform a cervical carotid angiogram and an intracranial angiogram, do I code both 36222 and 36223 since I did a cervical and intracranial study?

Answer:

The new 2013 guidelines for cervicocerebral diagnostic imaging follow a hierarchy of complexity. For the carotid circulation, 36222, cervical imaging, is bundled into 36223, intracranial imaging, the more “complex” study in the hierarchy. So in your scenario, only 36223 would be reported. Also, remember that all cervicocerebral diagnostic imaging codes also include catheterization. For more help coding the 2013 cervicocerebral diagnostic imaging codes see KZA’s GPS for Endovascular Coding which describe the accurate coding for these new codes and much more.

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